I have added amisulpride to my regular clozapine regimine.
Im taking 150mg amisulpride and my prolactin is high - 70 ng/ml (2-17). Unfortunately i cannot reduce or stop amisulpride cuz its working so well for paranoia.
I would like to know what are my options to lower prolactin without worsening psychosis ? I know low dose abilify can help. Are there any other options ?
It can reduce ur testrone levels possible shrinking ur penis… mine did but it had nothing to do with prolactin but this can be a big factor… also it causes erectile dysfunction and a huge loss of libido and ur whole quality of life can diminish from low t levels … although my prolactin was normal my t levels were low for my age try vitamin e it can lower it down up to 60% and ashwagandha it can lower prolactin up to 15% and increase t levels to 40% and I’m sure The 15 and 60 overlap… also long term prolactin can cause infertility, decrease your bone Density and other problems
Hi. I have been on clozapine for 10 years now. Few years ago I added amisulpride to my meds regimine. Using amisulpride felt great but I had to quit because my prolactin leves were to high (I don’t remember exact values but it was few times above limit). I started research and found out that nothing really helps with high prolactin leves. Abilify doesn’t work for amisulpride elevated levels. The only thing I found out was this:
I take 200mg amisulpride (and 2,5mg olanzapine) and find its an excellent med. Been taking 200-400mg amisulpride for seven years. Any side effects were very little. Calmed my positive symptoms and hypomania down so well!
I don’t know what my prolactin level is but I’ve heard it decreases fertility and that’s good news for me as I don’t want to ever fall pregnant.
So I’m happy with my meds combo
As for possible osteoporosis - I eat broccoli every day for calcium and fortified soya milk, and try to avoid dairy completely except for a small amount of cheese and chocolate.
I heard dairy consumption increases osteoporosis risk, as the calcium in the bones is leached out as dairy acidic in body. So I drink soya milk instead as this also has calcium but is alkaline in body.
Well same here. I have read you can reduce risperidone induced high prolactin with abilify but you cannot reduce amisulpride induced high prolactin with abilify.